Individual
MISS ASWATHI JAYARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 413-3890
(312) 413-3856
Mailing address
820 S WOOD ST # MC808, CHICAGO, IL 60612-4325
(312) 996-7300
(312) 996-4238
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01097455A
IN
207VM0101X
Maternal & Fetal Medicine Physician
036150906
IL
Other
Enumeration date
05/31/2013
Last updated
11/03/2025
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